14D0991750 CLIA NUMBER - NIDAL HASAN MD SC

Laboratory Demographics

  • CLIA Code: 14D0991750
  • Facility Name: NIDAL HASAN MD SC
  • Facility Address: 2315 E 93RD - SUITE 339
    CHICAGO, IL
    ZIP 60617
  • Facility Phone: 773 978-4330
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NIDAL HASAN
  • NPI Number: 1326024134
  • Taxonomy: 207RE0101X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D0991750
LAB Type Physician Office
Facility Name NIDAL HASAN MD SC
Street 2315 E 93RD - SUITE 339
City CHICAGO
State IL
ZIP 60617
Phone 773 978-4330
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/24/2024
Certificate Expiration Date 5/23/2026
Facility Type Physician Office
Lab Director NIDAL HASAN

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This page was last updated on: 9/29/2025